Pseudomonas Pseudoalcaligenes Caused Otogenic Cerebellar Brain Abscess In Indonesian Child

Authors

  • Prastiya Indra Gunawan
  • Achmad Chusnu Romdhoni

DOI:

https://doi.org/10.37506/ijfmt.v15i3.15901

Keywords:

cerebellar abscess, Pseudomonas pseudoalcaligenes, antimicrobials, drainage

Abstract

Otogenic brain abscess is a common intracranial complication from chronic supurative otitis media.
Pseudomonas pseudoalcaligenes is a rare cause of brain abscess. Prompt diagnosis and decision making is
significant in order to decrease the mortality rate from this type of abscess. We described A 13-year-old boy
presented with decreased consciousness, positive meningeal signs, and pathological reflexes. There was a
history of chronic suppurative otitis media. A head CT scan revealed multiple left cerebellar abscesses and
brain edema. The abscess wall culture revealed P. pseudoalcaligenes. After being managed with surgical
abscess drainage, mastoidectomy, ear flushing, and antimicrobial therapy for six weeks, his consciousness
level improved. Cerebellar neurological impairment was still observed. Physical and neurological
rehabilitation was performed in order to improve the patient’s condition.

Author Biographies

Prastiya Indra Gunawan

Lecturer, Head of Pediatric Neurology Division, Department of Child Health, Universitas Airlangga, College of Medicine, Dr Soetomo General Academic Hospital, Surabaya, Indonesia

Achmad Chusnu Romdhoni

Lecturer, Department of Ear, Nose and Throat, Universitas Airlangga, College of Medicine, Dr Soetomo General Academic Hospital, Surabaya, Indonesia

Published

2021-05-17

How to Cite

Gunawan, P. I. ., & Romdhoni, A. C. . (2021). Pseudomonas Pseudoalcaligenes Caused Otogenic Cerebellar Brain Abscess In Indonesian Child. Indian Journal of Forensic Medicine & Toxicology, 15(3), 3888-3890. https://doi.org/10.37506/ijfmt.v15i3.15901